Abstract
In the existing literature, studies on this subject are not always consistent; hence the results of the orthopaedic treatment in scoliosis are difficult to interpret. Actually, the main difficulty lies in the insufficiency of available data on the features of the treated cases of scoliosis: few or no clinical data recorded at the beginning of the treatment and over the whole follow-up period, especially with regard to the evaluation of hump deformity, the measurement of frontal and sagittal tilt angle, changes of ventilatory capacity, etc., bone age at the start and at the end of the treatment, and to the known extent of the scoliosis.
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Richards BS, Bernstein RM., D’Amato CR., Thompson GH. (2005). Standardization of criteria for adolescent idiopathic scoliosis brace studies: SRS Committee on Bracing and Nonoperative Management. Spine, 30(18), 2068–2075.
Shaughnessy WJ. (2007). Advances in scoliosis brace treatment for adolescent idiopathic scoliosis. Orthopedic Clinics of North America, 38(4), 469–475.
Mouilleseaux B, Marty C, Duval-Beaupère G, Touzeau C, Barthel F, Marpeau M, et coll. (1996). Indices pronostiques de réussite ou d’échec du traitement orthopédique de la scoliose idiopathique de l’enfant et de l’adolescent. Etude multicentrique à propos de 312 sujets. In: Dimeglio A, Herisson Ch, Simon L (dir). La scoliose idiopathique. Paris: Masson, 1996. p. 244–249.
Jarousse Y. (1999). Traitement orthopédique des scolioses de l’enfant et de l’adolescent. Rachis, 11(1), 43–54.
Bunnell WP. (1988). The natural history of idiopathic scoliosis. Clinical Orthopaedics and Related Research, (229), 20–25.
Peterson LE., Nachemson AL. (1995) Prediction of progression of the curve in girls who have adolescent idiopathic scoliosis of moderate severity. Logistic regression analysis based on data from The Brace Study of the Scoliosis Research Society. Journal of Bone and Joint Surgery Am, 77(6), 823–827.
Lonstein JE, Carlson JM. (1984). The prediction of curve progression in untreated idiopathic scoliosis during growth. Journal of Bone and Joint Surgery. Am, 66(7), 1061–1071.
Richards BS, Bernstein RM, D’Amato CR, Thompson GH. (2005). Standardization of criteria for adolescent idiopathic scoliosis brace studies: SRS Committee on Bracing and Nonoperative Management. Spine, 30(18), 2068–2075.
Weiss H, Negrini S, Rigo M, Kotwicki T, Hawes MC, Grivas TB, et coll. (2006). Indications for conservative management of scoliosis (guidelines). Scoliosis, 1, 5.
Emans JB, Kaelin A, Bancel P, Hall JE, Miller ME. (1986). The Boston bracing system for idiopathic scoliosis. Follow-up results in 295 patients. Spine, 11(8), 792–801.
Carr WA, Moe JH, Winter RB, Lonstein JE. (1980). Treatment of idiopathic scoliosis in the Milwaukee brace. Journal of Bone and Joint Surgery. Am, 62(4), 599–612.
Rowe DE, Bernstein SM, Riddick MF, Adler F, Emans JB, Gardner-Bonneau D. (1997). A meta-analysis of the efficacy of nonoperative treatments for idiopathic scoliosis. Journal of Bone and Joint Surgery. Am, 79(5), 664–674.
Table ronde: Les facteurs prédictifs de réussite des traitements orthopédiques des scolioses idiopathiques évolutives en cours de croissance. (1995). In: Mouilleseaux B (dir). Pronostic de l’efficacité et de la réussite du traitement orthopédique dans la scoliose idiopathique. 26ème réunion du GES. Dijon, 3 et 5 mars 1995. p. 1–123.
Charlopain P, Biot B, Fauchet R. (1998). Le traitement orthopédique lyonnais: résultats à long terme (237 patients). Annales de Réadaptation et de Médecine Physique, 41(3), 147–153.
Nachemson AL, Peterson LE. (1995). Effectiveness of treatment with a brace in girls who have adolescent idiopathic scoliosis. A prospective, controlled study based on data from the Brace Study of the Scoliosis Research Society. Journal of Bone and Joint Surgery. Am, 77(6), 815–822.
Morin C. (2005). Traitement orthopédique des scolioses idiopathiques. In: SOFCOT. Conférences d’Enseignement 2005 (Vol. 87). p. 289–308.
O’Neill PJ, Karol LA, Shindle MK, Elerson EE, BrintzenhofeSzoc KM, Katz DE, et coll. (2005). Decreased orthotic effectiveness in overweight patients with adolescent idiopathic scoliosis. Journal of Bone and Joint Surgery. American Volume, 87(5), 1069–1074.
Lonstein JE, Winter RB. (1994). The Milwaukee brace for the treatment of adolescent idiopathic scoliosis. A review of one thousand and twenty patients. Journal of Bone and Joint Surgery. Am, 76(8), 1207–1221.
Danielsson AJ, Hasserius R, Ohlin A, Nachemson AL. (2007). A prospective study of brace treatment versus observation alone in adolescent idiopathic scoliosis: a follow-up mean of 16 years after maturity. Spine, 32(20), 2198–2207.
Mouilleseaux B, Courtois I, Ebermeyer E, Molly JP, Diana G, Picault C. (1996). Facteurs de prédiction du résultat du traitement orthopédique. A propos de 74 scolioses thoraciques. In: Dimeglio A, Herisson C, Simon L (dir). La scoliose idiopathique. Paris: Masson, 1996. p. 250–255.
Maruyama T, Kitagawa T, Takeshita K, Mochizuki K, Nakamura K. (2003). Conservative treatment for adolescent idiopathic scoliosis: can it reduce the incidence of surgical treatment? Pediatric Rehabilitation, 6(3–4), 215–219.
Lenssinck MB, Frijlink AC, Berger MY, Bierman-Zeinstra SMA, Verkerk K, Verhagen AP. (2005). Effect of bracing and other conservative interventions in the treatment of idiopathic scoliosis in adolescents: a systematic review of clinical trials. Physical Therapy, 85(12), 1329–1339.
Weiss H, Weiss G, Schaar HJ. (2002). Conservative management in patients with scoliosis-does it reduce the incidence of surgery? Studies in Health Technology and Informatics, 91, 342–347.
Roussouly P. (2002). Nouveau logiciel de représentation 3D du rachis scoliotique: aide à la classification. GES 2002. Lyon, 15–16 mars 2002.
Berthonnaud E, Dimnet J, Roussouly P, & Labelle H. (2005). Analysis of the sagittal balance of the spine and pelvis using shape and orientation parameters. Journal of Spinal Disorders & Techniques, 18(1), 40–47.
Roussouly P, Gollogly S, Berthonnaud E, Dimnet J. (2005). Classification of the normal variation in the sagittal alignment of the human lumbar spine and pelvis in the standing position. Spine, 30(3), 346–353.
Bernard JC, Jemni S, Schneider M, Boussard D, Saillard V, Bard R, et coll. (2005). Évaluation du résultat d’un corset monocoque carbone respectant la respiration (CMCR) dans la scoliose idiopathique chez l’enfant et l’adolescent: étude rétrospective sur 115 patients. Annales de Réadaptation et de Médecine Physique, 48(9), 637–649.
De Mauroy JC, Fender P, Cerisier A, Lusenti P, Tato B, Sciascia G, et coll. (2002). Résultats du traitement orthopédique lyonnais. Résonances Européennes du Rachis, 10(31), 1220–1226.
Dubousset J, Charpak G, Dorion I, Skalli W, Lavaste F, Deguise J, et coll. (2005). Le sytème EOS. Nouvelle imagerie ostéoarticulaire basse dose en position debout. Emémoires de l’Académie Nationale de Chirurgie, 4(4), 22–27.
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Jean-Claude Bernard earned his MD in medicine from the University of Lyon I in 1986. He has gained several qualifications throughout his career, including the French National Specialty Diploma in Biology and Sports Medicine, as well as in Biomechanics of the Locomotor System, Kinesiology (1985) and Human Biology, General Anatomy and Organogenesis in 1986.
He also owns several academic and interacademic diplomas in the field of physical education and rehabilitation of the spine. He served as an intern in the Department of Orthopaedic Rehabilitation, Centre des Massues, Lyon (France) from 1983 to 1985, where he would become in 1994 Head of the Department of Physical Medicine and Rehabilitation in the children and adolescents unit, for which he is currently also President of the Medical Board.
Jean-Claude Bernard is also actively involved in university teaching with a focus on sports medicine and disability, his present appointments, include, among the others, teaching at the School of Physical Therapy in Lyon.
He has contributed over 50 papers published in specialised journals and a number of communications presented at national and international congresses and symposia, as well as jointly organising scientific meetings, notably on the therapeutic role of botulinum toxin for lower limb splasticity in children with cerebral palsy. He is an active member of several national scientific societies such as SOFMER (Société Française de Médecine de Rééducation et Réadaptation Fonctionnelles) and GES (Groupe d’Etudes de la Scoliose).
Jean-Claude Bernard is copy editor of the journal Résonances Européennes du Rachis and member of the Scientific Board of Le Journal de l’Orthopédie.
No funds were received in support of this study
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Bernard, JC. Is there still a place for the conservative treatment of idiopathic scoliosis in children and adolescents?. ArgoSpine News J 21, 113–118 (2009). https://doi.org/10.1007/s12240-009-0022-2
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DOI: https://doi.org/10.1007/s12240-009-0022-2